| NPI | 1336166883 |
|---|---|
| Doing Business As | ST ALPHONSUS TRAUMA PHYSICIAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | RICHARD PRESNELL Chief Financial Officer 208-367-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-23 |